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| Narkoojee Order Form | Free delivery within Australia for orders of a dozen or more |
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To order, print this form and fax to (03) 5192 4238, or post to the address
below. Free delivery within Australia for orders of a dozen or more. Email us at wines@narkoojee.com
for all other postage rates.
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| Bottle | Dozen | Quantity | Amount | |
| 2005 Lily Grace Chardonnay | $20 | $216 | .................. | .................. |
| 2006 Lily Grace Chardonnay | $20 | $216 | .................. | .................. |
| 2006 Myrtle Point Shiraz | $22 | $238 | .................. | .................. |
| 2006 Pinot Noir | $24 | $260 | .................. | .................. |
| 2004 The Athelstan Merlot | $28 | $302 | .................. | .................. |
| 2004 Cabernet Sauvignon | $28 | $302 | .................. | .................. |
| 2005 Cabernet Sauvignon | $28 | $302 | .................. | .................. |
| 2006 Isaac Shiraz | $28 | $302 | .................. | .................. |
| 2004 Four Generations Merlot | $45 | $486 | .................. | .................. |
| 2005 Reserve Chardonnay | $32 | $346 | .................. | .................. |
| 2004 Reserve Chardonnay | $32 | $346 | .................. | .................. |
| 2005 Trafalgar Chardonnay | $19 | $205 | .................. | .................. |
| 2005 Yorkie's Gully Rose | $12 | $130 | .................. | .................. |
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Free delivery within Australia for orders of a dozen or more. Please note the 10% discount is already included in the dozen prices. All prices inclusive of taxes. |
Postage: |
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| Total amount: | .................. |
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| Your details | ||||
| Name (please print) ................................................................................................... |
| Delivery address ........................................................................................................ |
| ..................................................................... State .................. Postcode .................. |
| Special delivery instructions ....................................................................................... |
| .................................................................................................................................. |
| Contact phone number and email.................................................................................. |
| Payment details | |||||
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Cheque/money order enclosed for $........................ payable to Narkoojee Pty Ltd | ||||
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Please debit the selected credit card | ||||
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| Card number ......................................................................................................... | |||||
| Expiry date ............... Signature ..................................................... Date ............. | |||||
Narkoojee Pty Ltd | 170 Francis Road | Glengarry VIC 3854, Australia | Phone: (03) 5192 4257 | Fax: (03) 5192 4238 |